title: SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients.
abstract: Healthcare practitioners, patient safety leaders, educators and researchers increasingly recognise the value of human factors/ergonomics and make use of the discipline's person-centred models of sociotechnical systems. This paper first reviews one of the most widely used healthcare human factors systems models, the Systems Engineering Initiative for Patient Safety (SEIPS) model, and then introduces an extended model, 'SEIPS 2.0'. SEIPS 2.0 incorporates three novel concepts into the original model: configuration, engagement and adaptation. The concept of configuration highlights the dynamic, hierarchical and interactive properties of sociotechnical systems, making it possible to depict how health-related performance is shaped at 'a moment in time'. Engagement conveys that various individuals and teams can perform health-related activities separately and collaboratively. Engaged individuals often include patients, family caregivers and other non-professionals. Adaptation is introduced as a feedback mechanism that explains how dynamic systems evolve in planned and unplanned ways. Key implications and future directions for human factors research in healthcare are discussed.
authors.affiliation: a Departments of Medicine and Biomedical Informatics , Center for Research and Innovation in Systems Safety Vanderbilt University School of Medicine , Nashville , TN , USA.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Holden
authors.forename: Pascale
authors.initials: P
authors.lastname: Carayon
authors.forename: Ayse P
authors.initials: AP
authors.lastname: Gurses
authors.forename: Peter
authors.initials: P
authors.lastname: Hoonakker
authors.forename: Ann Schoofs
authors.initials: AS
authors.lastname: Hundt
authors.forename: A Ant
authors.initials: AA
authors.lastname: Ozok
authors.forename: A Joy
authors.initials: AJ
authors.lastname: Rivera-Rodriguez
mesh_terms: D003299:Cooperative Behavior; D006804:Ergonomics / Q000379:methods*; D006801:Humans; D008962:Models, Theoretical; D010348:Patient Care Team; D010358:Patient Participation; D061214:Patient Safety; D058996:Quality Improvement